HomeMy WebLinkAboutUkrainian Community Center - Russian/Ukrainian Refugee Assistance Rating Tool for 2009/2010 Funding Applications
SECTION 1. Mary Ann: Pass/Fail: If all answers are yes, the application goes forward. If any
answer no, the application review stops.
Yes o
MI Submitted before deadline?
6 ❑ All questions answered on City supplemental application?
❑ E Common Application Checklist-all items "yes"? c o
U.A.--- 11 14.
° le-'-----
COMMON APPLICATION CHECKLIST
Yes No Cover pages
1 ...6.
Agency Information and Questions 1-7. "
R Ti1 Question 8 Organizational Experience (2 page maximum)
Er ❑ Question 9 Need for Your Program (2 page maximum)" .,
❑ Question 10 Proposed Program/Service (6 page maximum)_.
Er ❑ Question 11 Long Range Plan (1 page maximum)
r! ❑ Question 12 Budget (2 page maximum)
Data Tables
❑ Question 13 Number Of.Individuals/Households Served
E❑ Question 14a-c Performance Measures and Average Cost of Service
Er El Question 15 Demographics"(from all funding sources)
❑ Question 16 Program Staff `:
ID Question 17 .Program Revenue& Expense Budgets
R ❑ Question"18 Subcontracts
L'J Required.Documents
oroof of non-profit status
Arganizational Chart'
gency/Organization Mission Statement
k Q Board resolutionauthorizing submittal of the application (may be submitted up to 60
� 'days after application).
al L❑ List of the current governing board and local board, if applicable, (include name,
position/title, City residence, length of time on the Board, and expiration of terms.
�� Note airy vacancies.)
Ill L❑ Board Meeting Minutes of last three board meetings of governing board and local
board as applicable'"
Nr't Annual Budget
rWitj Financial Audit Cover Letter
r ''''.11 Financial Audit Management Letter
[5; Financial Statement
0 Verification of Non-Discrimination Policy
Program Intake Form
❑ Vgliding Fee Scale ,16._,
PASS / FAIL
Ra ... •ool p. 1
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SECTION 2. Karen & Dianne: All pre-applications Passed
No Score
Rating Tool p. 2
Draft of 4/15/08
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SECTION 3. Dianne: For informational purposes this year: Agency's Past Performance
Past Funding History for last two funding cycles 2005-2008 •
(Circle CDBG or GF) Amount Allocated:
2005-2006 CDBG / GF
2007-2008 CDBG /GF
Yes No
❑ ❑ Were quarterly reports on time in `07?
❑ ❑ Was first quarter report in '08 submitted on time? •
❑ ❑ Did agency meet 100% of all the performance measures in 2007? If not—
which ones did they not meet?
❑ ❑ Did agency submit an annual outcome report, on time for '07?
❑ ❑ Was a monitoring visit done? If yes, were there any findings? Yes _ No
❑ ❑ Did agency staff respond to staff requests for information in a timely
manner? (looking for a pattern, not one-time occurrences) in 2007?
❑ ❑ Did agency staff attend the City of Renton contract workshop in 07?
❑ ❑ Did agency staff attend the'Joint City funding workshop in 2008?
❑ ❑ Was there key staff turnover in 2007? If so, what position(s) and how
many?
•
No Score
Rating Tool p. 3
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SECTION 4. Staff check (Mary Ann and Dianne): make sure numbers in
tables match. Score based on the number of boxes checked "Yes"
Yes No
❑ ❑ #5 Total project costs need to match the totals on #17.
❑ ❑ #6 Total City funds requested for 2008 and requested for 2009 must match
numbers given in table #17.
❑ ❑ Last column of#6 must match first column of#14C.
❑ ❑ Average cost of service per client for Renton in#12C must match same in
#14C
❑ ❑ Last column of#13 must match middle-columnKof#14C.
❑ ❑ In #13 - column two percentages must add to 100%..
❑ ❑ In #13 - if agency selected individuals or households, should be answered
the same in question #15.
❑ ❑ #13 1st column numbers must match numbers on the top of#15.
❑ ❑ Three columns in #17,,p 19 (Revenue Source) add correctly?
❑ ❑ Three columns in #17p.,,20(Program Expense) add correctly'?
a ,
SCORE: / 10
Rating Tool p. 4
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SECTION 5. Finance Subcommittee of Human Services Advisory Committee:
Scores financial health of the agency
Originally the thought was that this would be pass/not pass. However, it does not
get to the financial health of the organization.
1. Level of Financial Statements without "going concern" noted in Auditor Cover
Letter
❑CPA Audited 3 points
['CPA Other/reviewed 2 points
❑Internally prepared 1 point
2. Program Budget
A) Is there a change of over 20% in the total program budget line on Table 17 Revenue
Source between 2007 Actual and 2008 Budgeted?'"
❑Yes ❑No
If yes, has this been adequately explained-in"question 12 B, "Changes to budget"?
❑Yes 0 Points
[No -2 Points ."
B) On Question 17, are the:totals for programbadgef Revenue or Expenses off by
more than $100?
❑Yes -3 points
❑No 0 points
3. Balance Sheet Strength.
Does the program%agency;"have a positive total net asset figure on the
balance sheet?.; 5
❑Yes , ; 1 point
❑No, : 0 points" ;:; ;
4. Balance Sheet.`Liquidity;:.
Is the current ratio at:least.1.10on-the Program /Agency Balance Sheet?
(Current assets divided by., current liabilities = current ratio).
El Yes 2 points
No 0;points
5. Diversified Funding
Program-;has a;mixture of funding sources for 2007 as shown in Question 17,
revenue source:'
❑ At least 1 each City, Other Government Funds and Private Sources
3 points
❑ Has funding from at least two of the three types listed above.
2 points
❑Only City funding sources, but receives funding from more than one city.
1 point
SCORE: / 9
Rating Tool p. 5
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6.. Human Services Advisory Committee: Scores quality of the
application 0-3
a. Organizational Experience
(score:0-3) Agency has track record of providing service
(score 0-3) Staff has applicable/related experience in working with
proposed program and/or training
(score i0-3) Was there an explanation,.asltp.how the Board stays
informed and connected,,about needs in South King
County? :u``
b. Is the need in the City supported by data?
(score 0 —3) Is the data specific to Renton or to`S.outh King County?
(score 0 — 3) Is there a quantifiable need?
c. How easily can Renton:residents access.the program? ,
(score 0-3) Does the,proposed outreach fit Renton or show knowledge of
Renton?'- h
(score 0-3) Were the l'an}guage'and cultural needs of the clients
addressed?
(score.0-3) Does:the agencyp-opose tohave subcontractors or partners?
Are services accessible through`1) the organization or 2) the
.subcontractors/partners? (Circle one)
d: =Long-Range Plan
(score-03) Is along-range plan described, versus a strategic plan?
(score 0-3)fiDoes the list multiple funding sources for future
'funding?
` ..(score,0-3) Was evaluation of services mentioned in the plan?
SCORE: / 33
Total Score: / 52
Rating Tool p. 6
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